More than two-thirds of Medicaid recipients are enrolled in privately run Medicaid managed care programs. Yet the evidence is thin these contractors improve patient care or save the government money.
“I don’t feel any consumer should have to go through this,” says Drew Calver, of the huge surprise bill he got from an Austin hospital after his 2017 heart attack. He’s worried about other patients.
An insured Texas teacher, 44, faces a “balance bill” of almost twice his annual salary from an out-of-network hospital’s treatment of his sudden heart attack.